Reversible Ischemic Neurological Deficit (RIND) due to Exercise Testing for the Diagnosis of Angina Pectoris
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概要
- 論文の詳細を見る
A 57 year old Japanese male with chest oppression due to exercise is presented. This symptom was likely due to effort angina pectoris. Masters double two-step test revealed ischemic ST segment depression on the electrocardiogram, thus, a Tl201 myocardial stress imaging test using a bicycle ergometer was undertaken. Immediately following the exercise test, the patient experienced dizziness and palsy in his left upper and lower limbs. Cerebral angiography demonstrated 70% stenosis at the right internal carotid artery, but no abnormal findings were demonstrated on a cranial x-ray CT scan and magnetic resonance imaging. His palsy in the left limbs completely recovered within 3 weeks. Thus this event was diagnosed as a reversible ischemic neurological deficit (RIND). Major but noncardiogenic complications during exercise testing are very rare, and RIND has not been reported thus far to the best of our knowledge.
- Japanese Heart Journal Associationの論文
著者
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MATSUMOTO Naoki
Department of Pharmacology, St. Marianna University School of Medicine
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MIYAKE Fumihiko
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Nakazawa Kiyoshi
Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine
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Nanke Toshihiko
Division of Cardiology, department of Internal Medicine, St.Mariannna University School of
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Horiuchi Masahiro
聖マリアンナ医科大学 神経内科
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Wakimoto Hirofumi
Division of Cardiology, St. Marianna University School of Medicine
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Watanabe Hirofumi
Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
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Horiuchi Masahiro
Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
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Takahashi Yoichi
Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
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Nanke Toshihiko
Division Of Cardiology Department Of Internal Medicine St. Marianna University School Of Medicine
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Nakazawa Kiyoshi
Division Of Cardiology St. Marianna University School Of Medicine
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Miyake Fumihiko
Division Of Cardiology Department Of Internal Medicine St Marianna University School Of Medicine
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Matsumoto Naoki
Department of Anesthesia, Gunma Prefectural Cardiovascular Center
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Nanke Toshihiko
Division of Cardiology, St. Marianna University School of Medicine
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Nakazawa Kiyoshi
Division of Cardiology, St. Marianna University School of Medicine
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